Tubing Misconnections Self Assessment
for Healthcare Facilities

Catheter and tubing misconnections are a serious problem in healthcare. While new international standards are being developed to address this issue, ISMP has been collaborating with Baxter Healthcare’s Clinical Center of Excellence on development of a self assessment for healthcare facilities. Hospitals completing the assessment will be able to better identify products and practices that pose a risk of inadvertent tubing misconnections, with the goal of mitigating potentially known risks. The tool guides users through a modified risk assessment that evaluates current delivery systems and mating devices, rating ease of connection and potential for patient harm, and assigning a risk priority score.